Abstract
A case of successfully treated congenital choledochal cyst by Roux-en-Y choledocho-jejunostomy was reported.
Review of the literature showed the best over-all results among the group which was treated by Roux-en-Y choledocho-jejunostomy. For unknown reason, choledocho-duodenostomy was not rewarding by complication of anastomosis site stenosis. Occasionally resection of the choledochal cyst was done, but this procedure is not considered as a standard operation.
The procedure was difficult, because previous drainage procedure was done about 20 years prior to this operation. The diagnosis is easy to establish, if the patient presented typical triads, i, e, intermittent pain, jaundice and persistent hypochondralgia from their childhood.
